Organization Active NPI

Diamond Care Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Diamond Bar, CA
National Provider Identifier
1366079600
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DIAMOND CARE PHARMACY, INC.
Practice address
21337 Cold Spring LN
Diamond Bar, CA 91765-3443
Phone
(714) 321-6272
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Min Jin Lee, PHARMDNPI 1306496369
Title
Pharmacist
Phone
(714) 321-6272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

21337 Cold Spring LN
Diamond Bar, CA 91765-3443

Mailing address

16735 Obispo Dr
La Mirada, CA 90638-6594
Phone (714) 321-6272

Other names 1

  • Diamond Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615001714 CA Part B Supplier - Pharmacy 3274955588 Practice locations: Diamond Bar, CA

National Provider Directory

National Provider Directory

Locations

21337 Cold Spring Ln
Diamond Bar, CA 91765
Phone (714) 321-6272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1366079600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16735 OBISPO DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386594",
            "telephone_number": "714-321-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21337 COLD SPRING LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653443",
            "telephone_number": "714-321-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIN JIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-321-6272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.